Active NPI
Mount Rogers Community Services
- Non-emergency Medical Transport (VAN)
- Wytheville, VA
National Provider Identifier
1407991284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- MOUNT ROGERS COMMUNITY SERVICES
- Practice address
- 770 W Ridge Rd
Wytheville, VA 24382-1046 - Phone
- (276) 223-3200
- Fax
- (276) 223-0617
- NPI assigned
- Feb 20, 2007
- Last updated
- Feb 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa B Martin
- Title
- Reimbursement Manager
- Phone
- (276) 223-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | VA | Primary |
Addresses
Primary practice location
770 W Ridge Rd
Wytheville, VA 24382-1046
Mailing address
770 W Ridge Rd
Wytheville, VA 24382-1046
Phone (276) 223-3200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9030140 | Medicaid | VA | |
| 9061363 | Medicaid | VA |
Other names 1
- Mount Rogers Community Services
National Provider Directory
National Provider Directory- Tax ID family
- Mount Rogers Community Services
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wytheville, VA
- NPI 1255365599
-
dba Carroll House Intermediate Care Facility
- Intellectual Disabilities Intermediate Care Facility
- Hillsville, VA
- NPI 1598381758
-
dba Green Valley Intermediate Care Facility
- Intellectual Disabilities Intermediate Care Facility
- Wytheville, VA
- NPI 1871123729
-
- Assisted Living Facility
- Wytheville, VA
- NPI 1174741268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1407991284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W RIDGE RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821046",
"telephone_number": "276-223-3200",
"fax_number": "276-223-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 W RIDGE RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821046",
"telephone_number": "276-223-3200",
"fax_number": "276-223-0617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT ROGERS COMMUNITY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
"authorized_official_telephone_number": "276-223-3200"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9030140",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9061363",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mount Rogers Community Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wytheville, VA
- Susan U Moore, CFNP
- Norman Paul Morin II, MD
- Katherine Ashley Morris, FNP-BC
- Donna Lynn Moulin, LICENSED PHYSICAL TH
- Mount Rogers Community Services
- Mount Rogers Community Services (Green Valley Intermediate Care Facility)
- Mount Rogers Mental Health & Mental Retardation Services Board
- Mountain View Pathology LLC
- David John Muron, MD
- Murray E Joiner Jr MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.